SOUTH TEXAS LICE CLINICS LLC (NPI# 1346740743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346740743 |
| Entity Type | Organization |
| Organization Name | SOUTH TEXAS LICE CLINICS LLC |
| Practice Address |
6391 De Zavala Rd Ste 222 San Antonio TX 78249-2159 |
| Practice Telephone | 2104094635 |
| Mailing Telephone | 2104094635 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |
| Authorized Official Name | TRACY COPELAND (OWNER) |
| Authorized Official Telephone | 2104094635 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
6391 DE ZAVALA RD STE 222 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78249-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| Find all providers in zip 78249 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184181554 | Zach Reiss | Technician, Other | 1255 Sw Loop 410 Ste 137, San Antonio, TX 78227-1667 | 2019-02-21 |
| 1568928794 | Dominique Moss | Technician, Other | 8004 West Ave Ste 2, San Antonio, TX 78213-1870 | 2019-02-12 |
| 1639617574 | Darian Garcia | Technician, Other | 28529 Willis Rnch, San Antonio, TX 78260-6058 | 2017-02-10 |
| 1033669775 | Serenah Palmer | Technician, Other | 150 W Sunset Rd, San Antonio, TX 78209-2633 | 2016-10-05 |
| 1497107353 | Jacob Babcock | Technician, Other | 526 Hammond Ave, San Antonio, TX 78210-3011 | 2016-07-04 |
| 1205288156 | Leilani P Lealaimatafao | Technician, Other | 8127 Hilltop Crst, San Antonio, TX 78251-2469 | 2016-07-04 |
| 1821330838 | Alexander Bonar Freitag | Technician, Other | 7715 Mainland Dr Ste 108, San Antonio, TX 78250-6008 | 2013-03-18 |
| 1538432273 | Louis P Mcdonald | Technician, Other | 1116 E Houston St, San Antonio, TX 78205-2031 | 2012-02-10 |
| 1114207818 | Alicia G Correa | Technician, Other | 7410 John Smith Ste 108, San Antonio, TX 78229-6069 | 2011-08-25 |
| 1386938769 | Roberta Powell | Technician, Other | 8222 Apricot Bloom, San Antonio, TX 78254-2807 | 2011-06-03 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78249 |
Please comment or provide details below to improve the information on SOUTH TEXAS LICE CLINICS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.